Golden State Family Care LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GOLDEN STATE FAMILY CARE LLC

Practice address

5815 Yolanda Ave
Tarzana, CA 91356-5967

Phone

(714) 422-4651

NPI assigned

Jun 29, 2026

Last updated

Jun 29, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jaycob Andrew OrnelasNPI 1093691776

Title

Ceo

Phone

(714) 422-4651

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaycob Ornelas

  • Behavior Technician
  • Anaheim, CA
  • NPI 1093691776
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1720904162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 YOLANDA AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913565967",
            "telephone_number": "714-422-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 YOLANDA AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913565967",
            "telephone_number": "714-422-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "ORNELAS",
        "authorized_official_first_name": "JAYCOB",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-422-4651"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Jay Goldberg, M.D.
• Phyllis Goldberg, PH.D.
• Golden Age Adult Day Health Care Center, Inc.
• Golden Age Skilled Services
• Golden Gate Home Care
• Rose Nolfi Golden-Wright, MS, OTR/L
• Georgia A Goldfarb, M.D.
• Abraham Goldman, M.D.
• Persia Goldman
• Lisa B Goldstein, M.A.

• Behavior Analyst in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.